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Title: | Transthoracic needle biopsy: Factors effecting risk of pneumothorax |
Authors: | Uludağ Üniversitesi/Tıp Fakültesi/Radyoloji Anabilim Dalı. Uludağ Üniversitesi/Tıp Fakültesi/Biyoistatistik Anabilim Dalı. Topal, Uğur Ediz, Bülent |
Keywords: | Lung biopsy Complication Pneumothorax CT Aspiration biopsy Thoracic lesions Lung lesions Spirometry Tests Radiology, nuclear medicine & medical imaging |
Issue Date: | Dec-2003 |
Publisher: | Elsevier Sci Ireland |
Citation: | Topal, U. ve Ediz, B. (2003). “Transthoracic needle biopsy: Factors effecting risk of pneumothorax”. European Journal of Radiology, 48(3), 263-267. |
Abstract: | Objective: to evaluate the factors that could effect the risk of pneumothorax in patients undergoing transthoracic biopsy. Material and methods: variables that could increase the risk of pneumothorax were evaluated in 453 CT-guided transthoracic biopsies. Factors were evaluated in two groups: (1) lesion related (presence of emphysema around the lesion, lesion depth, cavitation, presence of fissure/atelectasis and pleural tag in the needle trajectory); and (2) procedure related (biopsy type, needle size, number of passages, level of experience of the operator). All variables were analysed by chi(2) test and multivariate logistic regression statistics. Results: pneumothorax was developed in 85 (18.8%) out of 453 procedures. A chest tube was inserted in ten (11.7%) of them. Variables that were significantly associated with an increased risk of pneumothorax were depth of the lesion (P < 0.001) and severity of the emphysema (P < 0.01). Conclusion: the length of the lung parenchyma traversed during the biopsy is the predominant risk factor for pneumothorax in patients undergoing CT-guided transthoracic biopsy. The risk of pneumothorax was also increased with the severity of the emphysema around the lesion. |
URI: | https://doi.org/10.1016/S0720-048X(03)00058-5 https://www.sciencedirect.com/science/article/pii/S0720048X03000585 http://hdl.handle.net/11452/21105 |
ISSN: | 0720-048X |
Appears in Collections: | Web of Science |
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